ST. LUKE'S PHYSICIAN GROUP INC. (NPI# 1700264819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700264819 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC. |
| Practice Address |
511 E 3rd St Suite 200 Bethlehem PA 18015-2072 |
| Practice Telephone | 4845264700 |
| Practice Fax Number | 8338281813 |
| Mailing Telephone | 4845264700 |
| Mailing Fax Number | 8338281813 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | JOSEPH MINAHAN (PRESIDENT) |
| Authorized Official Telephone | 4845266162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| 1053957688 | St. Luke's Physician Group Inc. | Anesthesiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-11-19 |
| 1093270019 | St. Luke's Physician Group Inc. | Pediatrics | 7001 N Route 309, Coopersburg, PA 18036-1109 | 2019-02-04 |
| 1235602459 | St. Luke's Physician Group Inc. | Internal Medicine | 1107 Bethlehem Pike, Sellersville, PA 18960-1454 | 2019-01-10 |
| 1265905483 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 207 N Main St, Nazareth, PA 18064-1444 | 2019-01-10 |
| 1174013395 | St. Luke's Physician Group Inc. | Pediatrics | 450 Chew St, Allentown, PA 18102-3434 | 2018-05-14 |
| 1225528730 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 3420 Walbert Avenue, Suite 100, Allentown, PA 18104-1700 | 2018-05-10 |
| 1437695095 | St. Luke's Physician Group Inc. | Internal Medicine | 701 Ostrum St Ste 103, Fountain Hill, PA 18015-1152 | 2017-01-06 |
| Street Address |
511 E 3RD ST SUITE 200 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171653 | Aram Yousefi-elmi | Pediatrics | 511 E 3rd St, Bethlehem, PA 18015-2072 | 2005-08-17 |
| 1043791734 | Amber Hallowell | Dentist | 511 E 3rd St, Bethlehem, PA 18015 | 2018-08-22 |
| 1477034197 | Eman Abouhabib | Student in an Organized Health Care Education/Training Program | 511 E 3rd St, Bethlehem, PA 18015-2072 | 2018-08-22 |
| 1538649371 | Suvas Patel | Dentist | 511 E 3rd St, Bethlehem, PA 18015-2072 | 2018-08-21 |
| 1770944126 | Jonida Sinani | Dentist | 511 E 3rd St, Suite 301, Bethlehem, PA 18015-2072 | 2016-03-14 |
| 1285012906 | St. Luke's Physician Group, Inc | Pediatrics | 511 E 3rd St, Suite 201, Bethlehem, PA 18015-2072 | 2015-05-14 |
| 1336541051 | Northampton County Area Community College | Clinic/Center | 511 E 3rd St, Bethlehem, PA 18015-2072 | 2014-09-24 |
| 1730505595 | Susan Newhart | Nurse Practitioner | 511 E 3rd St, Suite 201, Bethlehem, PA 18015-2072 | 2014-03-17 |
| 1912335670 | Lisa Farley | Nurse Practitioner | 511 E 3rd St, Suite 201, Bethlehem, PA 18015-2072 | 2013-10-16 |
| 1376890046 | Chelsea Tripp Shepherd | Nurse Practitioner | 511 E 3rd St, St Luke's Southside Medical Center Special Care Clinic, Bethlehem, PA 18015-2072 | 2012-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073919627 | Srinidhi Jayadevappa Meera | Internal Medicine | 801 Ostrum St Ste 2, Bethlehem, PA 18015 | 2014-11-10 |
| 1518032754 | Michele L Mair | Internal Medicine | 701 Ostrum St Suite 502, Valley Cardiology Associates, Bethlehem, PA 18015 | 2006-11-22 |
| 1295707628 | Luis A Tejada | Internal Medicine | 1469 8th Ave, Bethlehem, PA 18018-2256 | 2006-02-01 |
| 1467082297 | Lvhn Coordinated Professional Practice | Internal Medicine | 3100 Emrick Blvd, Bethlehem, PA 18020-8061 | 2020-01-21 |
| 1164967675 | Compcare PC | Internal Medicine | 4379 Easton Ave, Suite 101, Bethlehem, PA 18020-1483 | 2016-12-20 |
| 1437581006 | Bhavin Jitendra Dumaswala | Internal Medicine | 1469 8th Ave, Bethlehem, PA 18018-2256 | 2013-08-06 |
| 1336423565 | Lehigh Valley Physician Group | Internal Medicine | 2649 Schoenersville Rd, Suite 301, Bethlehem, PA 18017-7326 | 2011-10-06 |
| 1922305952 | Mary Donna Mananghaya Cruz | Internal Medicine | 1469 8th Ave, Bethlehem, PA 18018-2256 | 2011-02-28 |
| 1396047700 | Sobhan Kodali | Internal Medicine | 1469 8th Ave, Bethlehem, PA 18018-2256 | 2010-11-18 |
| 1831328871 | Rujul Patel | Internal Medicine | 1469 8th Ave, Bethlehem, PA 18018-2256 | 2009-07-13 |
| Find all providers in BETHLEHEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.